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General NPI Number Information
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NPI Number | 1235822347
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Entity Type | Organization
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Legal Business Name | OCEANS FOR INDIVIDUAL, MARRIAGE AND FAMILY COUNSELING INC.
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/04/2023
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Provider Practice Location Address
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Address Line | 25283 CABOT RD STE 107
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5509
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Country | US
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Telephone | 949-243-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 26791 ALISO CREEK RD # 1097
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City | ALISO VIEJO
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State | CA
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Zip | 92656-2887
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDRA BOZICK
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Credential | LMFT
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Telephone | 949-243-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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